Job Family: Revenue Cycle
JOB TITLE: Revenue Cycle Project Manager
REPORTS TO: Senior Director of Revenue Cycle
STATUS: Exempt

Purpose: Deer Oaks is seeking a Project Manager responsible for Healthcare Revenue Cycle related special projects. As a key member of the revenue cycle team, the Project Manager will work with various stakeholders to execute projects. The team member will work hands on to ensure successful project execution across Deer Oaks’ revenue cycle processes. The Revenue Cycle Project Manager will work closely with Billing and Collections Manager, Payments and System Analytics Manager, Contracting and Credentialing Manager, New Patient Referral and MCO Authorizations Manager, and payment posters, collectors, billers, referrals department staff and credentialing staff to manage and identify payor, systems,
and process trends or patterns in revenue cycle activity. This manager will participate in payer meetings and revenue cycle department meetings as needed.

Responsibilities:

• Understands revenue cycle operations and technologies currently in place
• Works with the Senior Director of Revenue Cycle to identify gaps in processes, develop project plans and ultimately make recommendation to improve.
• Leads project teams and drives performance for on time completion of milestones.
• Develops and implements a system for documenting and communicating findings.
• Tracks, analyzes, interprets and reports key project information to the Senior Director of Revenue Cycle.
• Provide analysis for and advise senior management regarding revenue and reimbursement issues.
• Assists executive and senior leadership in managing information effectively to improve departmental efficiency and performance.
• Initiates projects based on departments’ needs and leadership direction.
• Communicates and escalates payer trends to leadership so payers can be notified, while working on resolution.
• Knowledgeable of and complies with applicable state, federal, and payer rules and regulations and company policies regarding compliance, integrity, patient privacy and ethical billing and collection practices
• Coordinates with the Billing and Collections Manager to ensure high level reimbursement through efficient billing and collections operations and effective accounts receivable management.
• Compiles and analyzes data for payment or billing errors.
• Participates with audits of denials, non‐payment, short‐pays, and overpayment, to assess payer, billing, and system performance.
• Maintains comprehensive working knowledge of payer contracts and ensures that payers are billed according to contract provisions.
• Maintains comprehensive working knowledge of government billing regulations including
• Medicare and Medicaid regulations and serves as a resource for appropriate organization personnel.
• Coordinates with the Payments and System Analytics Manager on the use of the billing
• information system and maintains a comprehensive working knowledge of the system.
• Participates in the development, testing and delivery of scheduled and adhoc reports.
• Assists in the development of financial data collection and measurement tools
• Monitors and reviews defined reports and works with applicable departments to ensure AR is properly represented.
• Supports clinical and operations teams and departments when necessary to assess and report performance.
• Establishes and maintains positive working relationships with payers and referral sources.
• Protects the confidentiality of patient and organization information through effective controls.

The above statements are only meant to be a representative summary of the major duties and responsibilities performed by the employee of this job. The employee may be requested to perform job‐related tasks other than those stated in this description.

Qualifications and Skills Requested:

• Five years of experience in health care billing and collections management, IT and/or revenue cycle reporting.
• Associate's degree in Accounting, Business Administration or related field, Bachelor’s degree preferred. Relevant experience can be substituted.
• Working knowledge of Managed Care, Commercial Insurance, Medicare and Medicaid reimbursement.
• Knowledge of Allscripts PM software a plus
• SQL and Power Query skills highly desired
• Advanced Microsoft Office skills required, Word, Excel, Power Point and Outlook.
• Strong verbal and written communication skills
• Demonstrates intellectual curiosity, ability to work independently, highly organized in thinking and work product, assertive, adaptable, creative and cooperative in performing job responsibilities
• Billing information systems knowledge required.
• Demonstrated capability to accurately manage detailed information.

Job Type: Full-time

Benefits:

• 401(k)
• Dental insurance
• Employee discount
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• Monday to Friday

Ability to commute/relocate:

• San Antonio, TX 78240: Reliably commute or planning to relocate before starting work (Required)

Work Location: One location

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